Provider Demographics
NPI:1255394326
Name:ATKINS, BRANDY MICHELE (DNP, ANP-C)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:MICHELE
Last Name:ATKINS
Suffix:
Gender:F
Credentials:DNP, ANP-C
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Mailing Address - Street 1:3801 LAKE OTIS PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5234
Mailing Address - Country:US
Mailing Address - Phone:907-562-2277
Mailing Address - Fax:907-563-3460
Practice Address - Street 1:3801 LAKE OTIS PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5234
Practice Address - Country:US
Practice Address - Phone:907-562-2277
Practice Address - Fax:907-563-3460
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2025-01-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AKNURU896363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1020437Medicaid
AKK167081Medicare PIN